Laura Heuchemer Heuchemer, LPTA
Individual provider Active NPI Physical Therapy Assistant · Clayton, NM
NPI 1457065013 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1457065013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA0568 (NM)
- Practice address
- 300 Wilson St
Clayton, NM 88415-3304 - Phone
- (575) 374-5733
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0568 | NM | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA0568 | NM | Yes |
Addresses
Primary practice location
300 Wilson St
Clayton, NM 88415-3304
Mailing address
915 Maple St
Clayton, NM 88415-2909
Phone (505) 382-1126
Other providers in Clayton, NM
- Golden Spread Rural Frontier Coalition
- Sharon L Gonzales
- Arthur Dean Grine
- Jessica Guthrie
- Robin B Harvey
- Highlands Surgical Services LLC
- Cassie Nicole House
- Brianna Irwin
- Anna L Jackard
- Amaris Keeth
All providers in Clayton, NM · Physical Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.